- George's Pet Pals

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– Step 1 of 6

Owner Details

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Emergency Contact Name & Telephone Number *

Dog Name *

Breed *

Age *

Gender *

Neutered *

Microchip Number *

Flea & Wormer Dates *

Vaccinations Date *

Upload Vaccination Proof *

Drag & Drop Files, Choose Files to Upload

Pet Insured *

Pet Insurer

Policy No

Arrival Date / Time *

Date

Time

Departure Date / Time *

Date

Time

Total Number Of Days *

Medical Conditions, History, Allergies, Current Medication

Dietary Requirements & Feeding Frequency

Behavioural Issues

Likes / Dislikes

Fearful, Anxious, Aggressive Tendencies

Permissions

Permission to walk off lead 15.2
Permission to group walk
I agree that in the case of suspected injury or illness to my dog a veterinary (vet) may be contacted for my dog to be examined, and investigations performed if required (blood tests, x rays but not limited to) and an appropriate course of action will be taken on advice of the vet.
I understand where possible any treatments will be undertaken by the dogs’ ordinary vet but maybe otherwise at George’s Pet Pals (GPP) nominated vet, where that’s not possible.
I agree to GPP administering any prescribed treatment the vet considers advisable. I understand that the veterinary consultation, tests and treatment will be my own expense.
I also give consent for euthanasia should this be recommended on humane grounds by the vet caring for my dog of which GPP will be in communication with the owner.
I understand that every effort will be made to get in touch with me or my proxy (emergency contact) to discuss an appropriate course of action for my dog and GPP will endeavour to keep you and the proxy updated throughout the process of which allcosts for the veterinary treatment & consultation will be at your own expense.
Permission to board with other boarding dogs 13.1
Permission to exercise dog in the garden with others 7.2
Permission for feeding enrichment upon veterinary advice 7.1
Permission for boarding dogs from the same household to sleep together or be together in the same designated room 16.1, 13.2
Permission for dogs to be crated (crates used for transportation) 13.6
Permission to walk the dog outside the home environment / garden 15.2
I agree that if my dog has fleas or worms then GPP will take the dog to the vet to arrange an appropriate treatment and charge the vets bill to yourself (owner) 9.7
Permission granted for the use of images, photographs of my pet for social media, advertising purposes only.

Owner Signature *

Clear Signature

Date / Time *

Date

Time

Signature *

Clear Signature

Date / Time *

Date

Time

Accepted

Meet & Greet Date / Time

Date

Time

Meet & Greet Observations

Interaction With Resident Dog

Interaction With Other Boarders

Interaction With Children

Interaction With Licensee

Additional Comments

Risk Assessment

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- Step 1 of 4

Owners Details

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Email *

Emergency Contact Name & Telephone Number *

Pet Details

Name *

Breed *

Age *

Gender *

Neutered *

Microchip Number *

Flea & Wormer Dates *

Vaccinations Date *

Upload Vaccination Proof *

Drag & Drop Files, Choose Files to Upload

Pet Insured *

Pet Insurer *

Policy No *

Vet Name *

Vet Tel Number *

Vet Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Medical Conditions, History, Allergies, Current Medication *

Dietary Requirements, Frequency 9.1 *

Behavioural Issues *

Likes / Dislikes *

Fearful, Anxious, Aggressive Tendencies *

Examples *

Risk Assessment *

Able to Travel In Car/Van *

Able to Have Treats *

Dogs From Same Household *

Total No of Dogs From Same Household *

Owner’s Permission Declarations

I as the owner of the aforementioned pet hereby give my full consent to the
following:

Permission's

Permission to walk off lead 15.2
Permission to group walk
Permission to seek emergency veterinary advice when required.
Permission to exercise dog in the garden with others 7.2
Permission for feeding enrichment upon veterinary advice 7.1
Permission for dogs to be crated (crates used for transportation) 13.6
Permission to walk the dog outside the home environment / garden 15.2
Permission for any preventative treatment to be administered under the direction of a veterinarian 9.7
Permission granted for the use of images, photographs of my pet for social media, advertising purposes only.

Signature *

Clear Signature

Date / Time *

Date

Time

Key Holder Waiver

I as the owner of the aforementioned pet hereby give George’s Pet Pals access to my property (Keys, alarm codes, gate codes). I understand that these will be kept in the strictest of confidence,

I also understand and agree by granting access to my property that George’s Pet Pals are not liable for any theft, loss or damage to the property or its contents.

Refer to Terms and conditions item 20. George’s Pet Pals will return all keys on cancellation of its services and all codes will be destroyed.

Signature (copy) *

Clear Signature

Date / Time (copy) *

Date

Time

Terms & Conditions

I as the owner of the aforementioned pet hereby have received and agree acceptance of George’s Pet Pals Terms and Conditions. I understand that these Terms and Conditions are binding and by signing this booking form they are deemed as agreed and accepted.

Signature *

Clear Signature

Date / Time *

Date

Time

Office Use Only

Accepted

Meet & Greet Date / Time

Date

Time

Meet & Greet Observations

Interaction With Resident Dog

Interaction With Other Boarders

Interaction With Children

Interaction With Licensee

Additional Comments

Risk Assessment (copy)

Owner Details

Owners Details

Pet Details

Owner’s Permission Declarations

Key Holder Waiver

Terms & Conditions

Office Use Only

Contact Details.

Address

Phone

Email

Links

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